Healthcare Provider Details

I. General information

NPI: 1891226627
Provider Name (Legal Business Name): LAURA SCHNIEDWIND MA, NCC, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2017
Last Update Date: 03/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28101 E QUINCY AVE
WATKINS CO
80137-9502
US

IV. Provider business mailing address

2475 ROSSMERE ST
COLORADO SPRINGS CO
80919-4867
US

V. Phone/Fax

Practice location:
  • Phone: 303-214-1165
  • Fax:
Mailing address:
  • Phone: 719-229-9287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0014261
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: